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Journal of the Korean Academy of Rehabilitation Medicine 1998;22(3):566-575.
The Evaluation of Renal Function in Spinal Cord Injury Patients Using Radioisotope Renography.
Park, Chang Il , Kim, You Chul , Shin, Ji Cheol , Yi, Yoon Kyoung , Yoo, Tae Weon , Lee, Il Yung , Park, Sang Il
1Department of Rehabilitation Medicine, Yonsei University College of Medicine.
2Department of Physical Medicine and Rehabilitation, Ajou University School of Medicine.
척수손상 환자에서 신장 스캔을 이용한 신기능 평가
박창일, 김유철, 신지철, 이윤경, 유태원, 이일영1, 박상일1
연세대학교 의과대학 재활의학교실 및 1아주대학교 의과대학 재활의학교실
Abstract

Objective
The purposes of this study were to determine the renal function by radioisotope renography and to compare the findings of radioisotope renography in the spinal cord injured patients to the clinical presentations and findings of other conventional urologic examinations.


Method
Intravenous pyelogram(IVP), voiding cystourethrogram(VCUG) and urodynamic study were performed in twenty-five spinal cord injured patients along with serum BUN/Creatinine levels and 24 hour creatinine clearance tests. Technetium-99 m mercaptoacetyltriglycine was used for the radioisotope renography.


Results
One abnormal radioisotope renography finding was noted among 22 normal findings by IVP and VCUG studies, while no abnormal finding by IVP and VCUG studies was noted among the subjects with a normal radioisotope renography. Effective renal plasma flow(ERPF) was significantly lower in patients with lower creatinine clearance. ERPF, cortical retention and creatinine clearance values for hyperreflexic bladders were significantly different from areflexic bladders. ERPF was significantly higher in a clean intermittent catheterization group than in a percussion and Credé method group for the hyperreflexic bladders.


Conclusion
The study proves that the radioisotope renography is a sensitive and valuable study to evaluate the renal dysfunction in the spinal cord injured patients.

Key Words: Spinal cord injury, Renal function, Radioisotope renography


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